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by Dr Charles Shaw and Adrian Worrall
Published: August 2020, with updates by Dr Amar Shah
The evolution of quality in UK health services has been one of consistent technical advances and complex cycles of values and behaviour. Frequent shifts in priorities and terminology, especially in the National Health Service (NHS), have led to relabelling, restructuring and loss of learning. The key dimensions of quality in healthcare remain unchanged, although we have seen an evolution of focus from planning to assurance to a deeper embedding of quality improvement within today's healthcare system.
Understanding how and why cycles recurred in the past helps to explain the present and, to some degree, the future. We can learn, for example, from recurring cycles in NHS policy, professional attitudes and public expectations. Observers around the world study closely how the UK, and specifically the NHS, have trodden this circuitous path. Similar reflection may also enable policymakers and practitioners in the UK to recognise where we are now and where we might go next in the quest for quality.
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Other modules in this series:
QI essentials by Dr Genevieve Holt and Dr Amar Shah
Clinical audit in mental health practice by Robin Burgess
Organisation theory: conceptual frameworks in a changing context by Professor David Crowther and Dr Miriam Green
Patient safety in mental health by Rachel Grace Paskell
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